Nursing home report
Registered name: Avir at Tierra Este
EL PASO, TX · Medicare-certified · 120 beds
Tierra Este Nursing and Rehabilitation has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It reported 3.05 nursing hours per resident per day versus the 4.1 federal benchmark, had $22,205 in fines in the last 24 months, and has a recent federal penalty.
Health inspections
Staffing
3.0487 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0487.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 690 — 42 CFR §483.25(e) — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2023 — isolated incident, actual harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2025 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2024 — widespread issue, potential for harm.
F-Tag 921 — 42 CFR §483.90 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $22,205 was recorded.
Health inspection found 3 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 8 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 8 fines · $53,957 in total fines.
Federal fine
May 18, 2026
Federal fine
Feb 20, 2024
Federal fine
Feb 12, 2024
Federal fine
Jan 22, 2024
Federal fine
Jan 8, 2024
Federal fine
Jan 2, 2024
Federal fine
Dec 11, 2023
Federal fine
Nov 9, 2023
Now operated by Avir at Tierra Este, previously Tierra Este Nursing and Rehabilitatin Center.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
